Vaginal atrophy (atrophic vaginitis) is thinning, drying and inflammation of the vaginal walls that may occur when your body has less oestrogen. Vaginal atrophy occurs most often around or after the menopause. For many women, vaginal atrophy could lead to bleeding; cause painful intercourse and lead to distressing urinary symptoms.. Place a towel under you to prevent spillage. To apply vaginal cream: Wash your hands with soap and water to avoid passing bacteria to the vagina. Open the tube of medicine and screw on the applicator nozzle. Gently squeeze the tube from the bottom to push enough cream into the applicator barrel.

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Oestrogen is not a contraceptive. It's still possible to get pregnant while taking hormone replacement therapy (HRT), so you'll need to use contraception until 2 years after your last period if you're under 50 years old, or for 1 year if you're over 50 years old.. vaginal cream (Ovestin) - insert 1 dose of cream a day for up to 4 weeks, then you can reduce your dose gradually depending on symptoms; How to use vaginal oestrogen Using vaginal oestrogen tablets. Wash your hands and get yourself into a comfortable position. You can either stand up or lie down. Open the pack and remove the applicator.